What Is Pain Management

Pain can be caused by a number of things; from an injury, a disease, or a strain on the body. Sometimes pain may continue long after the original cause has gone away. Sometimes, persistent pain may occur for no obvious reason.

100 million Americans suffer from some form of chronic pain. That’s more people than cancer, heart disease, and diabetes put together. Many more suffer from pain caused by acute or health problems such as cancer, arthritis, or lower back strain.

Pain management is a medical specialty devoted to diagnosing and treating serious pain. Pain management is a multidisciplinary specialty, meaning that pain management specialists use knowledge from other branches of medicine, including:

What Causes Pain Management

Pain is different for every individual. Most of the time, pain is caused when an illness, injury, or some strain on your body causes your nerves to send a signal to your brain, causing the unpleasant sensation we call pain. Usually, pain helps us by warning us something is wrong. But sometimes pain can cause suffering that is out of proportion to the problem that caused it. Pain may continue long after the disease or injury has been treated, or you may feel pain that seems to have no cause.

Pain that seems to happen for no reason or continues long after it should have ended is called chronic pain. Usually, chronic pain occurs when your nervous system just can’t stop sending pain signals because of something that happened in the past. This type of chronic pain may cause you to suffer for months or even years unless it is treated. Chronic pain may also be caused by damage to your nerves, caused by diabetes or some other condition. This is known as neuropathic pain.

Diagnosing Pain Management

Pain can be a symptom of many different illnesses. Sometimes it’s easy to tell what’s wrong, but other times the cause may be harder to find. Diagnosing complex or chronic pain may require a team of health care professionals, possibly including:

A general practitioner

A neurologist or neurosurgeon

A rheumatologist

A psychologist or psychiatrist

A physical or occupational therapist

Your diagnosis may involve a complete physical and psychological assessment, as well as tests. Tests used in pain assessment include

Prognosis

Some types of pain can be easily recognized and treated. Others are chronic problems that need lifelong management. Often, chronic pain can be managed. Because of ongoing scientific research, many doctors believe pain disorders that are problematic now may be easier to control in years to come.

Living With Pain Management

Sometimes the effects of pain can be more severe than the injury or illness that caused it. What’s more, many people with chronic pain have to cope with

Uncertainty

Social stigma

Inadequate treatment or misdiagnosis

For many people, chronic pain impacts quality of life and makes it hard to concentrate, to sleep, or to get stuff done at work and in day-to-day life. Chronic pain can also lead to depression. According to one study, more than four out of five people with chronic pain also felt depressed.So what can you do to help yourself manage when you suffer from chronic pain? Start by asking for help when you need it.

If you need help, talk to your doctor. If you feel depressed, or like it’s too much to bear, tell your doctor or talk to a psychologist or psychiatrist. If you find yourself thinking about suicide, talk to a doctor right away. If your doctor isn’t available, visit the emergency room or call the National Suicide Prevention Lifeline at 800-273-8255.

Also, don’t be afraid to ask for help from friends and family in your day-to-day life. Overextending yourself can lead to stress and trigger pain flare-ups. So don’t be afraid to call on friends or family for help. Sometimes you may need to delegate a task or put it off until later, and that’s OK.

Think of your energy as a limited resource, and budget what you have. Sometimes people compare this to pennies, or spoons. Assess what you have to do today, and if it takes more “spoons” than you think you have, figure out what you can skip or give someone else to do. And always try to keep one spoon in reserve, to help you cope with things you didn’t expect.

Don’t be afraid to ask for help when you just need someone to talk to.

Above all, remember to accept your limits and focus on the positive. Don’t dwell on the things you can’t do, but remember the things you can, and find ways to get the most out of life. You can’t always control your pain, but you can control your life and your happiness.

Screening

If you suffer from pain on a day-to-day basis, there are questionnaires and screening tools that your doctor can use to assess the severity of your pain, ranging from a one-question scale with pictures of facial expressions to more complex questionnaires suing 10 or more questions.

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) and naproxen (Aleve) give stronger relief but may cause stomach troubles with long-term use. NSAIDs are also available in prescription strength.

Celecoxib (Celebrex), a prescription COX-2 inhibitor, does not affect your stomach, but can increase your risk of heart attack.

Opiates (narcotics) are available by prescription only. They offer powerful pain relief but can cause addiction or dependence. Narcotics may also cause constipation or make it hard to think clearly.

Other medications, including antidepressants such as amtriptyline (Elavil) and anti-seizure drugs such as carbamazepine (Tegretol, Equetro) are also used sometimes for pain relief.

Depending on the cause of your chronic pain, your doctor may also prescribe other medications to treat the underlying condition.

In addition to medicine, your chronic pain treatment may also include other approaches, such as:

Relaxation and stress management

Physical and occupational therapy

Sleep

Group therapy

Lifestyle changes

Other techniques, including complementary treatments such as biofeedback

Care Guide

Managing chronic pain isn’t limited to the treatments you get from your doctor. You can also learn about your condition and take an active role in your own care. Some things you can do to help manage your chronic pain include:

Get enough rest. Sleep helps your body manage pain, and being overtired can intensify your flare-ups, so be sure to rest when your body needs to rest, and sleep when you need to sleep.

Don’t take on more than you can handle. Budget our time and energy, and keep a little in reserve for emergencies.

Listen to your body. Don’t try to push through the pain. Your body knows what it can do and what it can’t.

Learn your triggers. Keep track of the things that cause your pain to flare up, and learn to avoid them or work around them.

Enjoy life. Doing things you love to do can help you reduce frustration and manage your pain better.

Questions For A Doctor

When you go to see your doctor, it’s good to have a list of the questions you’d like to have answered. Take a moment to write down some of the things you want to know. Your questions for your doctor might include some of these: